4733411499898889898888-Bag-Technique.pdf

Bag technique

1. ASSIGNMENT ON BAG TECHNIQUE
INTRODUCTION
The nurse’s bag is the vehicle for carrying the tools needed during a home visit. The public
health nurse bag is designed to carry equipment and material needed during a visit to the
home, school, and factory. Equipment and material are needed to make test and to
demonstrate patient care such as eye irrigation, application of ointment and medications,
urine testing etc. The public health bag is an essential and indispensable equipment of a
public health nurse which she has to carry along during her home visit. It contains basic
medication and articles which are necessary for giving care. The bag should be made up of
canvas, leather, or light metal, rexin. The bag can be carried by the hand or on the shoulder
DEFINITION
The bag technique is a tool by which the nurse, during her visit will enable her to perform
nursing procedure with ease and deftness, to save time and effort with the end view of
rendering effective nursing care to clients.
PURPOSE
1.To carry equipment and material needed for home, school or industrial visit
2.To carry equipment and materials that are needed to make tests and to demonstrate
care such as dressing, eye irrigation, injections, urine testing etc.,
3.To perform nursing procedures and blood and urine investigations during visit.
PRINCIPLES OF BAG TECHNIQUE
The nurse should use economical method of using supplies and equipment in bag
appropriately.
Prevention of contamination, clean and sterilize contaminated articles before returning
to bag.
Protection of the caregiver.
Make articles readily accessible, use the equipment and materials available in the
home while carrying out the nursing procedures in home.
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2. Keep sterile equipments in sterile compartment of the bag (top compartment)
Teach the family members regarding nursing care can be performed in home.
Follow the standing orders appropriately, while providing care at home.
Follow aseptic technique throughout the procedure (interpersonal relationship) to the
family.
Make follow-up care
EQUIPMENTS
Bag with removable plastic or cotton lining
Table- 1
outside pocket soap in a soap dish
hand towel
nail brush
nail cutter
news paper bag
apron
pocket diary
pen and pencil
side pockets, scissors
measuring inch tape
litmus paper
filter paper
Talliqus, scale
Baby’s scale
news paper
specimen bottles
1 pair of sterile gloves
top compartment/ sterile/ clean
compartment
Dressing pack (small bag with clean cotton
gauze)
bandages
scissors-5 inch -1
artery forceps-5 -1
dissecting forceps-4 inch/ thumb forceps-1
thermometer oral/ rectal
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3. hypodermic needles (g. 19, 22, 23, 25)
disposable syringe with needles (g. 23 & 25)
side-2
steel kidney tray
cotton and gauze pack
solution bowl (small)-1
drugs/medicine, lancet.
lower compartment ounce glass/ measuring cup-1
plastic kidney tray-1
test tube and test tube holder-1
medicine dropper-1
spirit lamp
spatula
fetoscope
match box
solutions:
1.Benedict solution
2.Spirit
3.Betadine (Povidone iodine)
4.Acetic acid
5.Savlon or dettol
Bp apparatus and stethoscope are carried separately and are never placed in the bag.

SPECIAL CONSIDERATIONS IN THE USE OF THE BAG
1. The bag should contain all necessary articles, supplies and equipment which may be used
to answer emergency needs.
2. The bag and its contents should be cleaned as often as possible, supplies replaced and
ready for use at any time.
3. The bag and its contents should be well protected from contact with any article in the home
of the patients. Consider the bag and it’s contents clean and/or sterile while any article
belonging to the patients as dirty and contaminated
4. The arrangement of the contents of the bag should be the one most convenient to the user
to facilitate the efficiency and avoid confusion
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4. 5. Hand washing is done as frequently as the situation calls for, helps in minimizing or
avoiding contamination of the bag and its contents.
6. The bag when used for a communicable case should be thoroughly cleaned and disinfected
before keeping and re-using.
Bag technique procedure
Table -2
Nursing Procedure Rationale
Upon arrival at the patient’s home, place the
bag on the table or in a clean area, lined with
a clean paper. The clean side must be out and
the folder part, touching the table.
Select work area (clean and well lighted)
To protect the bag from getting
contaminated
To prevent children or domestic animal
getting in the way.
Spread newspaper on a flat surface and
place bag in one corner of the news paper
To create a clean area. The remaining area
of the newspaper can be used to place
articles from inside the bag for carrying out
procedure.
Make paper bag to receive soiled dressing
and cotton
To discard the waste
Remove the watch and other jewelleries.
Unbutton the outer lining of the bag and
touch only the outer part and o0ern the bag
To prevent cross infection
Remove the articles from the bag for hand
washing
Keep the towel and soap dish in a clean place
near the washing area where water will drain
off.
To prevent contamination
Wash hands with soap, scrub together for
5minutes, rinse hands and dry with clean
towel.
To prevent cross infection
Put on apron if necessary To prevent contamination of uniform
touch the inner part of the outer cover to
open the inner lining of the bag and keep the
folds aside on both sides.
Outer part of the bag is contaminated.
Take out the necessary articles for the
procedure and place on clean area of
newspaper without contaminating outside.
prevent contamination of equipment and
supplies.
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5. half cover the bag prevents exposure of articles inside the bag
and prevents contamination.
carry out the nursing procedure 
Clean and wipe outside of used bottles and
bowls with cotton swab moistened with
spirit.
Keep articles ready for next use.
Boil the used instruments for 5minutes and
keep inside the bag
Place articles which are contaminated with
infected material in aplastic cover in the
outer part of the bag for autoclaving before
replacing into the bag.
To disinfect the instruments
After procedure do the hand washingTo prevent contaminating the bag
Open the bag and replace all equipments to
bag in proper place
Keep articles ready for next use.
Promotes safe disposal of contaminated
waste.
Close the inner lining and half close the outer
lining
Bring soap dish and towel and replace them
in pocket of outer lining.
Touch the outer part of outer lining and close
the bag.
To prevent contaminating the bag
Document findings, procedure, instructions
given and plan for next visit.
To evaluate nursing care given and plan for
future visit.
Take out the bag 
Take the news paper and fold it with used
side inside and place it in the side pocket and
carry bag.
Used side is contaminated.
EVALUATION AND DOCUMENTATION:
1. Record all relevant findings about the client and members of the family.
2. Take note of environmental factors which affect the clients/family health.
3. Include quality of nurse-patient relationship.
4. Assess effectiveness of nursing care provided.
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6. SUMMARY
Bag technique can be performed in a variety of ways depending upon agency policies,
actual home situation, etc., as long as principles of avoiding transfer of infection is carried
out. The bag should contain all necessary articles, supplies and equipment which may be used
to answer emergency needs and its contents should be cleaned as often as possible, supplies
replaced and ready for use at any time. The bag and its contents should be well protected
from contact with any article in the home of the patients. Consider the bag and its contents
clean and /or sterile while any article belonging to the patient as dirty and contaminated. The
arrangement of the contents of the bag should be the one most convenient to the user to
facilitate the efficiency and avoid confusion. Hand washing is done as frequently as the
situation calls for, helps in minimizing or avoiding contamination of the bag and its contents.
The bag when used for a communicable case should be thoroughly cleaned and disinfected
before keeping and re-using.
BIBLIOGRAPHY
1) Swarnkar Keshav; Community Health Nursing; 3
rd
Edition. 2011; Published by N.R.
Brothers. Indore; Page no. 58-63.
2) Park. K; Essential of Community Health Nursing; 24th Edition 2014; Published by
Premnagar, Jabalpur;
3) Dr. Rao Sundar Kasthuri; An Introduction to Community Health Nursing; 4th Edition
(reprint) 2005; Published by B.I Publication pvt Ltd. Chennai;
4)Shiny George; A Comprehensive Procedure Manual of Community Health Nursing; 1
st

Edition. 2015; Emmess Medical Publishers. Page no.65-69.
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